endobook_en1_14_v1

Your Endo Specialist™

MM-ENDObookYour Endo guide

MM-ENDObook Discover MICRO-MEGA® solutions, developed for you and with you…

All our savoir-faire for your comfort and that of your patients!

04 Working length

07 Speed and torque

10 Endodontic treatment

22 Endodontic retreatment

25 Obturation

2

MICRO-MEGA®, a hundred-year-old French company, possesses savoir-faire that is

recognized worldwide in the fields of the design, manufacture and sale of dental surgical

instruments (root canal instruments, obturation, hand instruments and instrument hygiene).

MICRO-MEGA®’s savoir-faire in the design and construction of its own production machinery

has helped to achieve a predominant position in the dental instrument world. Over the years,

MICRO-MEGA® has become a leader and undisputed specialist in endodontics.

Its mission is to innovate in this field, setting the standards for general dental practitioners

throughout the world and offering the dental market a unique range of technical and scientific

expertise. Its motto “Your Endo Specialist” perfectly reflects this mission.

The MM-ENDOBook, dedicated to endodontics, will guide you through each stage of the

treatment, retreatment and obturation.

Supporting you...

Simple to useReliable

Time-saving

3

Workinglength

n The first exploration of the root canal is done with a pre-curved steel hand instrument, which provides information on canal anatomy. The importance of the mineralisation of the root canal lumen and the curve determine the difficulty of the treatment and therefore the choice of the sequence best suited to the clinical case.

n Apex locators have become indispensable tools in endodontics. They allow you to reliably determine working length and their results complement those obtained by pre-operative x-rays and the manual determination carried out with a K file (MMC n°10 L21 mm for example).

4

MMC files K typeL 21-25-29 mm

Individual sizes 06 ➝ 15Assortment by box 08 ➝ 15

156 8 10

• Color code

• Parachute Hang on

• Number identification

• Instrument identification• Pre-curvature

mark

• Silicone stop radio-opaque

Passing a manual file coated with MM-EDTA Cream is the first indispensable step in any successful endodontic treatment. The use of MMC files offers excellent precision and simplicity.

How to effectively assess the root canal anatomy?

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MMC files

+n Ergonomics of the handle: excellent file grip.n Silicone stop for perfect adjustment to the working length.n Radiopaque silicone stops.n For use in combination with apex locators (Apex Pointer™ +).

Advertising information: refer to regulatory and legal information (pages 42-43)

6

Apex Pointer™+ allows the apex to be located easily, quickly and as accurately as possible. Therefore, its reliability makes each stage of the treatment safer, whatever the root canal anatomy is.

How to accurately and precisely measure the working length?

Apex Pointer™

+

n Compact, lightweight and wireless.n High precision: high single frequency.n Constant current amplitude.n Works in dry or humid environments.n Rapid: no calibration.n Easy to operate.

Pre-apical zone1 2

43

1 2

43

1 2

43

1 2

43Apical constriction

zoneApical zone(foramen)

File beyond the apex

3 When the apex is reached, the V-line marked with 0.0 starts to flash and an intermittent beep alerts the dentist.

1 Carefully insert the file into the canal. The V-shaped scale lines indicate the location of the file tip with respect to the apical constriction and the apex.

2 The scale is divided into 5 segments between the apical constriction and the apex. Inserting the file deeper will increase beep sensitivity. One segment has a clear round spot towards the bottom of the scale. This means a reading of 0.5 and indicates the apical constriction.

4 When the apex is intruded, an extra indication below the word APEX starts also to flash and the beep becomes continuous.

+


7

Speedand torque

n The use of Nickel-Titanium files requires total compliance with the recommended protocol and speed, in order to optimize the effectiveness of your instruments and limit the risk of breakage in the canal.

AX’S Endo®

InGeT®

n 3 reduction ratios

• AX’S Endo® 04 (100:1)• AX’S Endo® 06 (75:1)• AX’S Endo® 08 (50:1)

n Slim neck design, ergonomic, balanced for maximum visibility.n 20° angle, for Improved visibility

of the operating field. n Automatic locking of the root

canal instrument.

8

The AX’S Endo® offers multiple advantages such as better visibility, manoeuvrability and reliability in each of your treatments.

Its cleverly simplified mechanism (the driving gear is integrated into the file) saves maximum space and offers perfect ergonomics.

Endo Contra-angles

+

+

n 3 reduction ratios

Superimposed heads

InGeT® Micro-head

Standardhead

Simple head mechanism

• InGeT® 04 (100:1)• InGeT® 06 (75:1)• InGeT® 08 (50:1)

n Improved visibility of the operating field.

n Lightweight, outstanding ergonomics, even easier to handle.

n Exceptional working comfort.


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Endo Motor

Endo motor with torque and speed control + integrated apex locator. MM • control is the indispensable tool in endodontics which offers reliability, simplicity and safety.

MM • control

Simplicity of usen Easy to use: simple and intuitive interface.n Space saving all-in-one device: no need to buy

an additional separate apex locator.n In “Auto” and “Apex Over” mode, the file starts

automatically when entering the canal.

Safe endodontic proceduren Safely controls the file progression towards

the apex.n Torque control + auto-reverse of rotation

direction: less stress on the instrument minimizes the risk of instrument breakage.

n Integrated apex locator = avoids passing beyond the apex. Automatic reversal of the direction of rotation.

Use in continuous rotationn A principle with

scientifically proven efficiency versus reciprocation.

n Apical debris extrusion with reciprocating movement is higher than with continuous rotation.

Proven reliabilityn Controls the speed which remains stable according

to the anatomical conditions of the canal.n Apex locator precision: instant, reliable and

precise indication of the apical distance thanks to the triple-frequency (100 Hz; 333 Hz und 10 kHz).

n Contra-angle designed with high-performance composite: unique resistance to shocks, cleaning and disinfecting products, sterilization, etc.

n Ergonomics of the electrically insulated contra-angle which does not require the use of an insulated sleeve. No fork which might hamper the use of the contra-angle.

Apically extruded debris with reciprocating single-file and full-sequence rotary instrumentation systems. Bürklein S., Schäfer E. /JOE – 2012 June

Quantitative evaluation of apically extruded debris with different single-file systems: Reciproc, F360 and One Shape® versus Mtwo. Burklein, Shaefer & Benten / IEJ — 2013 July 6

Literature references


n Reliable and practical tools to make every step of treatment easier by conforming to the biological and ergonomical requirements of disinfecting and shaping.

n Simple protocols for more efficiency.n Saving time at every stage.

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Scientific articles:One Shape®

Revo-S™

Secure the root canal preparation with a single file system“One Shape®, a new concept of root canal shaping. Simple and rapid protocol for an efficient upward debris elimination. Its instrumental conception combined with the continuous rotation technique allows a reliable and stress-free usage. Excellent tactile sensation and cutting efficiency in thin and curved root canals.”

Dr. ELIAS, Dr. BONNINAlpha Oméga - June 2012

“The development of new NiTi instruments, based on an asymmetry of the blades, has allowed to perform a simplified instrument sequence in order to answer to both the biological (efficient shaping and cleaning) and ergonomic (simplification and safety) imperatives which are crucial to perform initial endodontic treatments in general practice. The Revo-S™ sequence performs efficient root canal cleaning and shaping without altering the coronal section and enabling a hermetical canal obturation”.

J.P. MALLET, F. DIEMERAn instrument innovation for initial endodontic treatment: the Revo-S™ sequence.Clinic - Vol. 29 - November 2008.

Endodontictreatment

11

EnDoflArE® removes coronal constraints, improves access to canal entrances and facilitates the insertion of preparation instruments.

How to efficiently prepare canal entrances?

Protocol for use

1 2

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Speed of rotation: 300 - 600 rpm

Initially open the canal with a MMC Hand File size 10, length 21 mm or 25 mm.

Insert ENDOFLARE® in the coronal third to a maximum depth of 3 mm using a gentle back & forth motion.

Irrigate generously.

In complicated cases, press lightly against the chamber walls in order to selectively debride the area.

n Wide taper (.12 n°25).n Short: access and maneuverability facilitated.n Inactive tip: respects canal anatomy.n Active: cutting cross-section to widen the canal.n Excellent debris evacuation: no plug formation.

Classics or InGeT®

.12 - n°25 - L 15 mm

ENDOFLARE

®

+

Additional information to this protocol for use: refer to regulatory and legal information (pages 42-43)

12

G-Files™

•Classicsor InGeT®

•G1x2+G2x2 L 21, 25 or 29 mm

Pack of 4 assorted instruments

Pack of 4 identical instruments

Glide path development is an essential but time-consuming step in endodontic treatment. G-files™ are based on an innovative design to help the clinician safely save time in endodontic procedures. The superior cross-section of the G-files™ combines efficiency and innovation. Along the length of the instrument, the G-file™ has cutting edges on three different radiuses leaving a large and efficient area for upward debris removal.

Used after hand files have measured working length, G-files™ safely enlarge the glide path in preparation for rCT with rotary instrumentation system.

How to prepare access for rotary instruments rapidly and in complete safety?

n Superior flexibility due to their small instrument diameters (n° 12 and n° 17) and their slight .03 taper.

n Non-working (safety) tip.n Optimized electropolishing

offers excellent cutting efficiency and enhances penetration of the file down to the apex.

n Enhanced circulation of the irrigation solution beginning from the initial phase of treatment.

n Quickly and safely enlarge the canal passageway to the apex.

+

2 instruments!

Only

G2 - N°17 .03 L 21, 25 or 29 mm

G1 - N°12 .03 L 21, 25 or 29 mm



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Determine the working length with a small diameter precurved stainless-steel instrument (MMC 08 and 10 files).

Speed of rotation: 400 rpm – Max. torque: 1.2 N.cm

The rotating G1 instrument is introduced into the canal, progressing with a slow movement without any apical pressure until the working length has been reached.

After irrigation, the G2 instrument is used in the same way; then the last hand file is used again to check canal patency and confirm the working length.

1 2 3

Note: It may be necessary to use ENDOFLARE® to allow easy direct access of the G-Files™ to the entrance of the canal.

File K(MMC)

WL WL

WL: Working Length

Protocol for use

G1 G2

non-working TipUnique innovative cross-section

n The cross-section varies throughout the length of the instrument.

n The 3 cutting edges are on 3 different radiuses relative to the axis of the canal.

More space for better elimination of debris.

Excellent cutting action.n Preserves canal anatomy

SEM view: Dr Franck Diemer, Toulouse, France.

R1

R2

R3


One Shape® provides simplicity to practitioners:n Simplicity of use: 1 single instrument for canal

shaping.n Productivity: sterile instrumentation saves time.n Flexibility: superior ability to negotiate curves.n Efficiency: in continuous rotation.n Safety: single use.n Innovation: new asymmetrical cross-section

with longer pitch.

+Your One Shape®

with more benefits!

Simplifying your endodontic procedures with complete safety and effectiveness is our primary concern.MICro-MEGA® now offers the new one Shape®, the one and only niTi instrument in continuous rotation for quality root canal shaping.

How to realize your endodontic shaping with one single instrumentin continuous rotation?

One Shape

®

•Classics•.6-n°25

L 21, 25 or 29 mm

Blister of 5 identical instruments

One Shape ®

New

14 Additional information to this protocol for use: refer to regulatory and legal information (pages 42-43)

Flexibilityn More flexibility due to the longer instrument

pitch: superior ability to negotiate curves.

n Ergonomics which gives a maximum comfort.

Safetyn Controls risk of infection due to sterile blister

packaging.

n Respect of office hygiene.

n The variable pitch reduces the screwing effect.

n Minimal fatigue along the length of the file virtually eliminates the risk of separation.

Simplicity of usen 1 single instrument for shaping.

n Time saving thanks to the sterile instrument.

n 1 single reference to manage stock.

n Facilitated instrument handling for assistants.

Efficiencyn Instrument in continuous rotation.

n Asymmetrical cross-section + longer pitch increase the available volume for upward debris elimination: high-quality shaping.

n The quantity of apically extruded debris is less with continuous rotation.

Apically extruded debris with reciprocating single-file and full-sequence rotary instrumentation systems. Bürklein S., Schäfer E. /JOE – 2012 June

Quantitative evaluation of apically extruded debris with different single-file systems: Reciproc, F360 and One Shape® versus Mtwo. Burklein, Shaefer & Benten / IEJ — 2013 July 6

Literature references

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One Shape® providessimplicity

that practitioners are looking for in endodontics

15

The instrument presents a variable asymmetrical cross-section along the blade.

n An original and innovative instrument design.n A MICRO-MEGA® innovation: the instrument presents a

variable cross-section along the blade.n One Shape® principle: 3 different cross-section zones. The first zone presents a variable 3-cutting-edge design.The second (transition zone) has a cross-section that progressively changes from 3 to 2 cutting edges.The last (coronal) is provided with 2 cutting edges.

The instrument with variable asymmetrical section

n Examples of instrument cross-section evolution.

n Asymmetrical cross-section MICRO-MEGA® patent since 1999.

n Longer pitch.n Variable cross-section along

the instrument.n Depth identifications on the file.

+

Apical zone Coronal zone

n Take a preoperative radiograph to assess canal anatomy and establish Estimated Working Length (EWL).

n Establish straight-line access preparation to expose canal orifices.

n Remove coronal constrictions with ENDOFLARE® (or use your current flaring technique). Canal penetration of ENDOFLARE® is limited to 3 mm below the pulp chamber floor.

3 mm

NaOCl

1 Access Cavity Preparation

Operating Protocol It is highly recommended, at a minimum, to use One Shape® on an extracted tooth or to receive training regarding this product prior to using it for root canal treatment.

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G1

EWL

G2

EWL

K-File(MMC)N°10

EWL

WL: Working Length

One Shape®

WL - 3 mm

One Shape®

WL

One Shape®

2/3 WL

n Scout each root canal with small diameter hand files which provide information about the root canal anatomy complementary to that obtained by the preoperative X-rays.

n Prepare the glide path using #10 Stainless Steel K-type hand file (for example MMC 10).

a) If the #10 K file easily reaches the EWL, and if it is possible to take a #15 K file down to this EWL:

b) If canal constrictions prevent the #10 K file from easily reaching the EWL: complete glide path preparation using G-Files™, NiTi files for glide path development in continuous rotation. Use G1 to EWL followed by G2 to EWL:

n Use the #15 K file to determine Working Length (WL) See G-Files™ protocol (p. 12)

NaOCl

NaOCl NaOCl

NaOCl

Withdrawal and cleaning

of the file

Patency check (#10 K file)

Withdrawal and cleaning

of the file

Patency check (#10 K file)

K-File(MMC)N°10

K-File(MMC)N°15

EWLEWL

Speed of rotation:350-450 rpmMaxi torque: 2.5 N.cmTechnique: in and out movement without pressure.Remove and clean the instrument and irrigate the canal when apical resistance or a slight apical pull is encountered. Repeat steps until the WL is reached.

Irrigate thoroughly with sodium hypochlorite. A chelating gel (MM-EDTA Cream) can also be used during the root canal shaping.

2 Establishing the Glide Path

3 Shaping the Root Canal

17

Speed of rotation: 350-450 rpm Maxi Torque: 2.5 N.cm

18

One Shape®

Apical

The one Shape® Apical are sterile and single use niTi finishing instruments which are used after a shaping realized with one Shape® in order to enlarge the root canal taper. There are used with a 400 rpm rotation speed reduction contra-angle.

How to simply realize apical finishing?

n Sterile and single-use files.n Efficient enlargement of the apical zone after One Shape® instrumentation.n Apical preparation shaping respecting the path.n Respect of the apical constriction.n Superior debris removal.n Minimal fatigue along the length of the file virtually eliminates the risk

of separation.

+

19 m

m19

mm

20 m

m20

mm

22 m

m22

mm

2 instrumentsare proposed:

Optional

One Shape® Apical 1: N°30 - .06

One Shape® Apical 2: N°37 - .06


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Operating Protocol

WL WL WL

One Shape®

One Shape® One Shape® Apical 1 One Shape® Apical 2

NaOCl NaOClNaOCl

One Shape® Apical 1

Working movement identical to One Shape® technique: in and out movement without pressure in the apical zone.

n One Shape® Apical 1 for use after One Shape® WL.

n One Shape® Apical 2 for use after One Shape® Apical 1 WL.

In case of resistance or slight apical pull remove and clean the instrument and irrigate the root canal.

This instrument is for single use and intended for the treatment of only one tooth.

Check the condition of the instrument after the treatment of each canal and dispose of all instruments which show signs of unwinding, wear or premature fatigue. In case of reutilization the instrument presents a risk of separation. The root canal must be irrigated using sodium hypochlorite after each instrument passage.

Rotation speed: 350-450 rpmMaxi torque: 2.5 N.cm

Rotation speed: 350-450 rpm Maxi torque: 1 N.cm

20

Asymmetrical section Symmetrical section

Clockwise

R3 R1

R2

How to simplify your endodontic treatment?

This sequence with only 3 nickel-Titanium instruments simplifies the initial endodontic treatment and optimizes the cleaning. The asymmetrical cross section of the revo-S™ facilitates penetration by a “snake-like” movement and offers a root canal shaping adapted to the biological and ergonomic imperatives. This sequence has a cutting, debris elimination and cleaning cycle which optimizes the root canal cleaning by improving the upward removal of the generated dentine debris. It also offers the choice of the apical finishing (AS30, AS35 and AS40) best suited to the anatomical and ecological criteria of the canal.

Revo-S™

n Enables a better root canal penetration due to a “snake-like” movement = excellent progression of the instrument toward the apical region of the root canal.

n Facilitates the elimination of debris upward the coronal thanks to the increased available volume for debris.n Avoids the grooves to be obstructed and thus avoids the extrusion of debris beyond the instrument tip

and apical foramen.n Reduces the stress on the instrument thanks to the rippling movement of the file along the canal walls: no

screwing effect, more flexibility, better ability to negotiate curves.

The instrument works in a cyclic way:

1) Cutting 2) Debris elimination 3) Cleaning

The 3 cutting edges are located to the canal axis on 3 different radiuses: R1, R2 and R3.

+


A customized treatment using 3 instruments

21

WLWL

2/3 WL

SC1(Shaper® & Cleaner 1)N°25 .06L 21 mm

SC2(Shaper® & Cleaner 2)N°25 .04L 21, 25 or 29 mm

SU(Shaper® Universal)N°25 .06L 21, 25 or 29 mm

n Excellent cleaning.n Adapted active length.n The extended cutting part in the coronal region increases instrument flexibility.n Facilitates the upward elimination of dentine debris.

Protocol for use

1 2 3

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Speed of rotation: 250 - 400 rpm WL: Working Length

+

22

Revo-S™

Protocol for use

for a successful canal preparation, apical finishing is essential: MICro-MEGA® offers an optional adapted solution with specific instruments: AS30, AS35 and AS40.

WLWLWL

Apex 40/100Apex 35/100

Apex 30/100

AS 30(Apical Shaper® 30)

N°30 .06L 21, 25 or 29 mm


N°35 .06L 21, 25 or 29 mm


N°40 .06L 21, 25 or 29 mm

How to realize an efficient apical finishing?

+WL: Working Length

n Shaping down to the working length: more accurate finishing of the apical 1/3.n Efficient disinfection: The irrigating solution penetrates to the apical 1/3.n The extended helical machining up to the coronal region enables a continuous bending of

the instrument.

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Advice and recommandations

Initial penetration n The first step consists of an initial penetration of the canal using a conventional stainless steel hand instrument

(usually a K file N°10 – MMC n°10 L21 mm) which provides information about the canal anatomy complementary to that obtained by the pre-operative X-rays.

n The use of ENDOFLARE® is recommended (see p.11).n The G-Files™ safely enlarge the glide path in preparation for RCT with rotary instrumentation system (see p.12).n The instruments should be removed frequently from the canal and cleaned using a compress in order to

eliminate the dentine debris.

Operative dynamics

n Revo-S™ instruments should be used with a rotation speed ranging between 250 and 400 rpm. l Use SC1 with slow and unique downward movement in a free progression and without pressure. l Use SC2 with a progressive 3 wave movement (up and down movement). l Use SU with a slow and unique downward movement in a free progression and without pressure. Then check

apical patency and if necessary, perform an upward circumferential filing movement.n The AS instruments should be used without apical pressure, after using the SU. Their penetration depth

corresponds to the working length. This length is shortened in thin root canals or with a marked curvature. They are then used in a step back motion (AS30 at WL, AS35 at WL – 0.5 mm, AS40 at WL – 1 mm if necessary).

Irrigation

n The canal should be thoroughly irrigated using sodium hypochlorite (2.5% to 5%) between the use of each instrument. The use of a chelating colloid gel (MM-EDTA Cream recommended, see p. 41) is advised for instrument lubrication and dentine debris removal.

•Classicsor InGeT®

•SC1+SC2+SU+AS30+AS35+AS40

•SC1,SC2,SU,AS30,AS35orAS40

•SC1+SC2+SU, •AS30+AS35+AS40

Pack of 6 assorted instruments

Pack of 6 identical instruments

Pack of 3 assorted instrumentsL 21 mm L 21, 25 or 29 mm

.06 .04 .06

N°25 SC1 SC2 SU

N°30 AS30

N°35 AS35

N°40 AS40

24

Kits MM • controlOne Shape® Total Solution: a gain in efficiency and simplicity!

n 1 MM • controln 1 blister MMC 08 (sterile - L25 mm)

+ 1 blister MMC 10 (sterile - L25 mm) + 1 blister MMC 15 (sterile - L25 mm)

n 1 blister ENDOFLARE® (sterile - L25 mm)

n 1 blister G-Files™ G1 (sterile - L25 mm) + 1 blister G-Files™ G2 (sterile - L25 mm)

n 5 blisters One Shape® (sterile - L25 mm)

n 1 blister One Shape® Apical 1 (sterile - L25 mm) + 1 blister One Shape® Apical 2 (sterile - L25 mm)

n 1 box Gutta Percha One Shape® Shaping - L29 mm

n 1 box Paper Points One Shape® Shaping - L29 mm

Ref.51400104

MM • control+ One Shape® Solution Kit

25

Revo-S™ Total Solution, opt for safety and universality!

n 1 MM • controln 5 packs MMC ass 08-10-15 -

L 25 mmn 1 pack ENDOFLARE® - L 25 mmn 1 pack G-Files™ G1 - L 25 mm

+ 1 pack G-Files™ G2 - L 25 mmn 3 packs Revo-S™ SC1 - L 21 mm

+ 3 packs Revo-S™ SC2 - L 25 mm + 3 packs Revo-S™ SU - L 25 mm

n 1 pack Revo-S™ AS30 - L 25 mm + 1 pack Revo-S™ AS35 - L 25 mm + 1 pack Revo-S™ AS40 - L 25 mm

n 1 box Gutta Percha Revo-S™ SU - L 29 mm

n 1 box Paper Points Revo-S™ SU - L 29 mm

Ref.51400103

MM • control + Revo-S™

Solution Kit

26

Scientific articles:

“Effectiveness, flexibility adapted to each canal zone, parietal cleaning of root canals, respect of the initial canal path, rapidity, operating comfort, simplicity and ergonomics, safety and finally asepsis are the major advantages of the R-Endo® concept, which allows endodontic retreatments to be carried out with a great deal of serenity.”

J.P. MALLET, E. DEVEAUXNickel-Titanium and endodontic retreatment: a new concept for mechanised instrumentation. Clinic 2004 - Vol. 25 - N°6 - Pages 353 - 363.

Endodonticretreatment

n Endodontic retreatment (ERT) is indicated following the failure of an initial endodontic treatment.

Advice and recommendations

N°25 .04 N°25 .12 N°25 .08 N°25 .06 N°25 .04

27

How to make a retreatment effectively with complete safety?

R-Endo®

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n 1/4 turn withpressure directed towardsapex.

n Removal.

n Canalpenetration:1to3mmunder pulp chamber floorwithout having to force theinstrument.

n Apical pressure control, stop as soon as instrument requires force to penetrate.

n Circumferentialfiling.

n Canal penetration throughrepeated limited pushingactions in apical direction (pushandretain).

n Preparation from the coronalthird to the beginning of themiddlethird.

n Canal penetration throughrepeatedlimitedpushingactionsin apical direction (push andretain).

n Preparationfromthemiddlethirdto the beginning of the apicalthird. Never pass the lengthreachedwiththeMMCn°10.

n Canal penetration throughrepeatedlimitedpushingactionsin apical direction (push andretain).

n Insert R3 to WL or near WLaccordingtothecanalanatomy.

n Check the working length as soon as possible.

n If possible check the apical patency. n At the end of the preparation,

ensure the complete removal of the debris from the previous filling using an X-ray.

n In curved canals: • Same precaution as for any kind of NiTi

instrument must be observed to avoid false canal creation.

• Introduction of a pre-curved hand file MMC n°10 is necessary prior to penetration with R-Endo® files.

n Rotation speed: 300 to 400 rpm.

n Frequent solvent renewal.n Use alternately solvent and

NaOCI. The nearer you get to the apex use less solvent and more NaOCl.

r-Endo® InGeT® or Classics, a single method for a simple protocol offering maximum safety.

Phase 1: Pre-operative analysis: 1 Pre-operative X-ray. 2 Placing of rubber dam. 3 Removal of coronal restorations and posts. 4 Access re-opening. 5 Visual and tactile analysis of filling material(s). 6 Solvent choice.

Phase 2: operative sequence: a protocol in 5 main steps.

5 R34 R23 R11 Lime Rm 2 Re


Protocol for use

Why using R-Endo®?

28

R-Endo®

n Files specially designed for ERT.

n Rapid: only 5 NiTi instruments (Rm, Re, R1, R2, R3).

n Simple: a protocol that is easy to memorize.

n Safe: inactive tips.

This method will enable you to remove filling and shape the root canal using only 5 instruments. There is no need to use a complementary shaping method after the r-Endo® instruments.

You access each level of the radicular zone progressively.

+

Pack of6 identical r-Endo®

•InGeT®

•Classics

•Packof5 assorted R-Endo® InGeT®

•Packof3assorted R-Endo® Classics

Introductory packageRe R1 R2 R3 Rs

R1 R2 R3

Pack of6 rm hand files

•.04

R1

Rm

Re

R2

R3

29

Scientific articles:

“Comparatively to similar techniques and materials, the modifications added to the HEROfill® are likely to improve its success, allowing a quick and simple three-dimensional obturation.”

S. ZOUITEN, N. DOUKI ZBIDI, N. ZOKKAR, C. BACCOUCHE HEROfill®: A third generation of Root Canal Filling.Dental News - Vol. 12 - N°3.

Obturation

n Obturation guarantees the three-dimensional sealing of canals and conditions the success of the endodontic treatment in the long term.

n Whether temporary or permanent, obturation is an important stage for which MICRO-MEGA® has developed reliable, practical tools that will make your job easier.

30

+

Root canal repair cement

MM-MTA™

The introduction into the market of MTA (Mineral Trioxide Aggregate) in the 90s has been a veritable revolution that allows successful repair of iatrogenic accidents while reducing the associated pathological complications.Currently, clinically approved MTA products are available within the dental marketplace. However, MTA traditionally has a long setting time and an often grainy consistency which makes placement more difficult.

MICro-MEGA® now offers the “State-of-the-Art” MM-MTA™, an endodontic repair cement that has excellent physiochemical characteristics delivered in innovative packaging. MM-MTA™

incorporates a faster set time with a pasty consistency for easy handling and placement.

n Biocompatibility.

n Formation of a protective waterproof layer, resistant to bacterial infiltration.

n Excellent adhesion to the dentine.

n Optimal results, even in humid conditions.

n Radiopacity.


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n

Innovative characteristics

Intended uses

MM-MTA™ Cap contains liquid and 0.3 gr of MM-MTA™ powder. Each capsule is wrapped in a hermetic aluminium pack.

Thanks to its unique characteristics, MM-MTA™ offers indisputable advantages compared to other existing materials:

An adapted packaging:n Consisting of capsules containing MM-MTA™ powder and liquid, automatic mixing is achieved quickly with a

vibrating mixer. In addition, the resulting MM-MTA™ blend is extremely homogenous with transformation properties which are always optimal and reproducible.

n Each capsule contains the exact dosage of MM-MTA™ to avoid waste.

A homogenous consistency:n MM-MTA™ packaging insures a consistently high-quality product mix for simple handling and easy placement

within the root canal.

A reduced setting time (20 minutes):n The addition of calcium carbonate (CaCO3) considerably reduces the setting time and also allows filling in the same

session.

Simple, quick…

MM-MTA™ is used in the following cases:

n Repair of root perforations during an endodontic treatment.

n Root-end fillings

n Pulp capping.

MM-Paste

32

How to temporarily obturate reliably and precisely?

n Water-soluble for easy cleaning prior to final filling.n Barium sulphate content, radiopaque.n Syringe for quick and easy application.n Flexible tips for precise and controlled access to root canals.n Single-use tips prevent cross-contamination.

• After preparing the root canal, clean it and dry it. Fit a single-use nozzle on the syringe and introduce it into the canal (1). Press on the piston and completely fill the canal, withdrawing the nozzle from the latter gradually (2 and 3). Clean away the excess coronal paste using sterile cotton wool.

MM-Paste for: n Temporary antiseptic obturation of infected canals (acute or chronic infection).n Temporary obturation between sessions.n Temporary obturation of canals in the case of root fracture.

1 2 3

+


33

+

Ob

tura

tion

n Its great flexibility allows it to perfectly follow the shape of the canal.n The instrument’s helical shape creates a translational movement,

facilitates the transport of the filling material and guarantees its perfect application onto the canal walls.

Pastinject®

Plastic handleL 21-25-29 mm

IndividualSizes 15➝40Assortment by box 25 ➝40

15 3020 3525 40

Pastinject® for perfect application of sealing cements, calcium hydroxide and paste.

How to perfectly coat the canal walls?

Pastinject®


34

How to obturate quickly and reliably?

HEROfill ®

1 2 3

4

5 6 7

n Detachable handle.n Adjustable working length.n Easy control owing to the HEROfill® Verifiers.n Rapid heating with HEROfill® Oven.n Easier post space preparation.

Obturators Verifiers

The HErofill® is an endodontics obturation system expanding on the principle of a rigid plastic core coated with thermoplastic gutta percha. The enhancements found in the HErofill® system add accuracy and dependability to the well documented apical seal that may be obtained with endodontic obturators.

453020 3525 40 453020 3525 40

Select theappropriate size HEROfill® obturator. Generally this willbe the same sizeasthelastfileusedat the apex of thecanal.

Confirm the selected obturator size by inserting thematchingHEROfill® Verifier into thecanaltotheworkingdistance.

The chosen obturator is placed inone of the slots by its colour-codedhandle.ActivatethetimerbypressingtheONicon.

While the obturator is heating, mixand place any heat resistant sealer(MM-Seal™recommended).UsingtheHEROfill®Verifier,placeathincoatingofsealeronthewallofthecanal.

Allow the gutta perchatocool for3-4minutes.Confirming radiographsmaybetakenduringthistime.

Removethehandlebytwisting it. Cut awayexcess plastic core with a small invertedcone bur and trim away the extra guttapercha.

After the tone,remove the HEROfill® obturator. Withouttwisting the handle,immediately insert it into the canal to theworkingdistance.

+


35O

btu

ratio

nAdvertising information: refer to regulatory and legal information (pages 42-43)

+

+n Radio-opaque.n Easy to introduce.n Flexible for perfect adjustment to all root canal

anatomies without bending.n Easy-to-identify thanks to the coloured tip.n Special taper adapted to One Shape®.

n Quick and efficient drying.n Shaped for easy and reliable penetration

to the apex.n Easy-to-identify thanks to the coloured tip.

How to perfectly obturate radicular canals after shaping with One Shape®?

MICro-MEGA® developed reliable and practical tools to simply obturate after shaping with one Shape®.

One Shape®

Obturation

One Shape® GP Points

One Shape® Paper Points

60 points per box. L29 mm.

60 points per box. L29 mm.

Shaping

Apical 1 Apical 2

Apical 1Apical 2

Shaping

Packs of 60 points. L29 mm.Packs of 60 points. L29 mm.

Revo-S™

Paper Points

Revo-S™

GP Points

36

Revo-S™ GP Points 25 .06

SU

AS30AS35

AS40

For vertical condensation technique: a single

reference regardless of the last preparation

Revo-S™ file.

For lateral, thermomechanical or combined condensation techniques: one specific reference for each Revo-S™ file.

Revo-S™ GP Points SURevo-S™ GP Points AS30Revo-S™ GP Points AS35Revo-S™ GP Points AS40

Revo-S™ Paper Points SURevo-S™ Paper Points AS30Revo-S™ Paper Points AS35Revo-S™ Paper Points AS40

n Easy-to-identify owing to the same colour code as Revo-S™.

n For quick, efficient and economical drying: Less paper points are needed to dry the canals thanks to their adapted taper.

n Flexible for perfect adjustment to all root canal anatomies.

n Highest precision for all filling techniques: cold, warm or thermomechanical condensation technique.

Revo-S™

Obturation

Improved efficiency owing to the Revo-S™ Paper Points! Their taper perfectly matches canals shaped with Revo-S™ files and thus guarantees quick, efficient and safe drying.

The new Revo-S™ GP Points have been designed with specific tapers and diameters perfectly matching the Revo-S™ files.

How to accomplish perfect obturation after Revo-S™ treatment?

AS30AS35

AS40SU

+

+

Four paper points, perfectly matching the Revo-S™ files.

Packs of 60 points. L29 mm.


Revo SpreadersNiTi Spreaders

Revo CondensorNiTi Thermocompactor

37

3020 25

The Revo Spreaders have an excellent gutta percha plugging ability and are meant for lateral condensation obturation technique after use of the Revo-S™ files.

The Revo Condensor is the ideal instrument for thermomechanical condensation technique: The gutta percha is heat plastified through friction. The Revo Condensor’s inverted H-type file profile guarantees an efficient transport of the gutta percha inside the root canal.

n High flexibility and excellent root canal curve negotiation owing to NiTi = more safety!n .04 taper for optimal sliding of the spreader along the gutta percha cone. n 90° point for optimum gutta percha plugging.

n More safety and flexibility thanks to NiTi.n Simple to use: Only one instrument is used whatever the root canal preparation and apical finishing might be.

Ob

tura

tion

L 21 or 25 mm L 25 or 29 mm

+

+


38

Revo-S™

ObturationLateral condensation technique

Thermomechanical condensation technique

Select the master cone (Revo-S™ GP Point) corresponding to the last Revo-S™ file used and try it in a humid environment (2.6% NaOCl). Dry the canal using paper points (Revo-S™ Paper Points) and coat the canal walls with endodontic sealer MM-SEAL™.

Insert the master cone corresponding to the last Revo-S™ file used for canal preparation into the canal until WL or WL -0.5 mm is reached.

Condense laterally using the biggest Revo Spreader (N°20, N°25 or N°30) allowing to reach WL -2 mm.

Then insert an accessory cone corresponding to the Revo Spreader until the level of the latter is reached and condense laterally. Repeat this operation (insertion and condensation of an accessory cone) until the endodontic space is completely filled.

Eliminate the excess Revo-S™ gutta percha in the pulp chamber with the heated part of a plugger for vertical condensation. Maintain the pressure on the remaining Revo-S™ gutta percha with the flat and cold part of the plugger.



Insert the Revo Condensor into the root canal, set the motor speed at 10 000 - 15 000 rpm and slightly press against the master cone until its plastification.

Slowly pull the Revo Condensor out of the root canal using a slight up and down movement and performing light pressure on a canal wall.


3

4

1

WL

2

WLWL -2 mm

3

4

1

WL

2

WL

1 1

2 2

3 3

4 4

Protocol for use

39



Condense laterally using the biggest Revo Spreader (N°20, N°25 or N°30) allowing to reach WL -2 mm.

Then insert an accessory cone corresponding to the Revo Spreader until the level of the latter is reached and condense laterally. Insert the Revo Condensor into the root canal, set the motor speed at 10 000 - 15 000 rpm and slightly press against the cones until their plastification. Slowly pull the Revo Condensor out of the root canal using a slight up and down movement and performing light pressure on a canal wall.


3

4

1

WL

2

WLWL -2 mm

Combined condensation technique

1 3

2 4

Ob

tura

tion

WL: Working Length

+HERO Shaper®

Root canal preparation

HERO Shaper® gradually eliminates interferences and flares the canal. The varying helical pitch and length of the cutting portion of the files provide them with an excellent combination of efficiency, flexibility and strength.

n Root canal shaping is facilitated. Limits the risks of breakage thanks to the use of Nickel-Titanium. With tapered canal preparation, the inactive tip respects canal anatomy.

n HERO Shaper® can be used in 3 sequences so as to cope with any curve of the root.

n HERO Shaper® guarantees simple, quick and efficient canal preparation.

40

The MICRO-MEGA®

+


MICRO-MEGA® also offered MM-GP Points, gutta percha points with .02, .04 and .06 tapers to obturate root canals prepared with NiTi instruments. Their shaped makes possible to use lateral, thermomechanical or combined condensation techniques.

n Radio-opaque.n Easy to introduce.n Highest precision for all filling techniques:

cold, warm or thermomechanical condensation techniques.

+

MM-GP Points.02, .04 and .06

+

MM-Seal™Root canal sealer

41

n Facilitates the cleaning and shaping of the root canal system.

n Lubricates.

n Facilitates instrument access and penetration.

MM-EDTA CreamEDTA Cream

MM-Seal™ is a high quality, epoxy resin-based paste/paste sealer for permanent filling of root canals. Its outstanding chemical and physical properties provide excellent sealing of root canals. Eugenol-free, biocompatible and radio-opaque. It can be used for all gutta percha obturation techniques.

MM-EDTA Cream ensures effective cleaning and shaping of the root canal system. Its lubricating action smoothes file penetration and facilitates the removal of debris.

n Dual-syringe design for accurate dispensing.n Homogeneous, free of air bubbles and easy to mix.n Penetrates superbly into the smallest lateral

canals.

n Excellent biocompatibility.n Can be worked for 35 minutes at 23°C.n Sets in 45 minutes at 37°C, allowing stress-free

placement of gutta percha cones.

+


MM-ENDObookREGULATORY INFORMATION

MICRO-MEGA® is certified ISO 13485: 2012and NF EN ISO 13485: 2012.Distributed in over 125 countries, our products meet the requirements of European Directive 93/42/EEC and are CE marked.

MMC Files P. 5Advertising

Year of CE-marking: 1998Medical device class I accordingto directive 93/42/EEC Medical device for dental care,meant for professional dental use only. See product labelling and, where applicable, instructions for use.

ENDOFLARE® P. 11Advertising + Protocol for use

0459Year of CE-marking: 2001Medical device class IIA accordingto directive 93/42/EEC Certifying body: LNE/G-MED Medical device for dental care,meant for professional dental use only. See product labelling and, where applicable, instructions for use.Maximum number of uses indicatedon the product labeling.

Sterility guaranteed if package is unopened and undamaged.

G-Files™ P. 12Advertising + Protocol for use



Revo-S™ P. 18Advertising + Protocol for use



R-ENDO® P. 23Advertising + Protocol for use



One Shape® P. 14Advertising + Protocol for use

0459Year of CE-marking: 2012Medical device class IIA accordingto directive 93/42/EEC Certifying body: LNE/G-MED Medical device for dental care,meant for professional dental use only. See product labelling and, where applicable, instructions for use.Sterility guaranteed unless packageopen or damaged.Maximum number of uses indicatedon the product labeling.


Apex Pointer™ + P. 6Advertising

0459Year of CE-marking: 2007Medical device class IIA accordingto directive 93/42/EEC Certifying body: LNE/G-MED Medical device for dental care,meant for professional dental use only. See product labelling and, where applicable, instructions for use.

AX’S ENDO® P. 8Advertising


InGeT® P. 8Advertising


ENDOAce® P. 9Advertising


MM-MTA™ P. 26Advertising


ENDOAce® Torque P. 9Advertising


Non-sterile devices

Non-sterile devices Non-sterile devices

Non-sterile devices

STERILE EO Sterile devices

STERILE EO Sterile devices STERILE EO Sterile devices

STERILE EO Sterile devicesSTERILE EO Sterile devices

42

One Shape® Apical P. 18Advertising + Protocol for use

0459Year of CE-marking: 2014Medical device class IIA accordingto directive 93/42/EECCertifying body: LNE/G-MEDMedical device for dental care,meant for professional dental use only.See product labelling and, whereapplicable, instructions for use.Sterility guaranteed unless packageopen or damaged.Maximum number of uses indicated on the product labeling.


Pastinject® P. 29Advertising


One Shape® GP Points and One Shape® Paper Points P. 31Advertising


.02, .04, .06 MM-GP PointsAdvertising


HERO Shaper®

Advertising

0459Year of CE-marking: 2001Medical device class IIA according to directive 93/42/EEC Certifying body: LNE/G-MED Medical device for dental care, meant for professional dental use only. See product labelling and, where applicable, instructions for use.

HEROfill® P. 30Advertising


Revo-S™ Paper PointsAdvertising

0459Year of CE-marking: 2011Medical device class IIA accordingto directive 93/42/EEC Certifying body: LNE/G-MED Medical device for dental care,meant for professional dental use only. See product labelling and, where applicable, instructions for use. MM-Seal™

Advertising


MM-EDTA CreamAdvertising


Revo-S™ GP PointsAdvertising


Revo SpreadersAdvertising + Protocol for use

Year of CE-marking: 2011Medical device class I accordingto directive 93/42/EEC Medical device for dental care,meant for professional dental use only. See product labelling and, where applicable, instructions for use.Maximum number of uses indicated on the product labeling.

Revo CondensorAdvertising + Protocol for use

0459Year of CE-marking: 2011Medical device class IIA accordingto directive 93/42/EEC Certifying body: LNE/G-MED Medical device for dental care,meant for professional dental use only. See product labelling and, where applicable, instructions for use.Maximum number of uses indicated on the product labeling.

MM-Paste P. 28Advertising


Non-sterile devices

Non-sterile devices

Revo-S™ Obturation P. 36

The MICRO-MEGA® + P. 40

Revo-S™ Obturation P. 38

43

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www.micro-mega.com

MICRO-MEGA®

5-12, rue du Tunnel25006 Besançon Cedex - France

Tel.: +33 (0)3 81 54 42 34Fax: +33 (0)3 81 54 42 [email protected]

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